Rabies and the ACO - PowerPoint PPT Presentation

Rabies and the ACO. Wendy Blount, DVM. www.wendyblount.com. Rabies. Infectious agent : virus that attacks nervous system Causes brains cells to malfunction Worldwide - tens of thousands of human deaths yearly 0-5 deaths per year in the US Death by lightening strike is more likely

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(c) If the public health veterinarian or the local health officer issues an order to surrender an animal that is suspected of having rabies, a person may not hide or secret the animal:

(1) In the custody of the person; or

(2) In the custody or with the cooperation of any other person.

(d) A person who fails or refuses to comply with any provision of this section or any order issued under this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $500.

(a) Each person who owns or keeps a dog, cat, or ferret that is 4 months old or older shall have the dog, cat, or ferret vaccinated adequately against rabies.

(b)(1) A county may not register or license a dog, cat, or ferret unless the person who owns or keeps the dog, cat, or ferret submits, with the application for registration or license, proof that the dog, cat, or ferret has been vaccinated adequately against rabies.

(2) The public health veterinarian shall determine the proof of vaccination that is acceptable.

(a) Except as provided in subsection (e) of this section, an apparently healthy dog, cat, or ferret that has been adequately vaccinated against rabies in accordance with § 18-318 of this subtitle or any other animal that bites a human or otherwise exposes a human to rabies shall be quarantined as provided in subsection (b) of this section.

(b) An animal under quarantine shall be quarantined in a place, which may include the residence of the owner, in the manner designated by the local health officer or the public health veterinarian for a suitable period as determined by the health officer or the public health veterinarian.

(c)(1) At any time during the quarantine period, the public health veterinarian or local health officer may order the owner of a biting animal to have the animal monitored for rabies by a licensed veterinarian.

(2) The owner of the animal shall pay for the cost of any examination or other associated cost.

(d) An animal under quarantine may not be moved from the place of quarantine without the written permission of the local health officer or public health veterinarian.

(e) The public health veterinarian or local health officer or the designee of the public health veterinarian or local health officer may order the immediate and humane destruction of a biting animal for rabies testing if:

(1) It is necessary to preserve human health;

(2) A licensed veterinarian determines that a quarantined animal is inhumanely suffering; or

(3) The animal is considered wild and is not claimed by an owner within 24 hours.

Prohibited conduct. - (1) A person may not import into Maryland, offer for sale, trade, barter or exchange as a household pet any live: (i) Fox, skunk, raccoon, or bear; (ii) Alligator or crocodile; (iii) Member of the cat family other than the domestic cat; or (iv) Any poisonous snakes specifically in the family groups of Hydrophidae (sea snakes), Elapidae (cobras), Viperidae (vipers), or Crotolidae (new world pit vipers).

(a) Prohibited conduct. - (2) Notwithstanding the provisions of paragraph (1) of this subsection, a person may offer these species for sale, trade, barter, import, or exchange to a public zoo, park, museum, educational institution, or to a person holding a valid State or federal permits for educational, medical, scientific, or exhibition purposes.

(b) Penalty. - Any person violating the provisions of this section shall be guilty of a misdemeanor and upon conviction, in the case of an individual, shall be fined not more than $1,000; or in the case of any person other than an individual, by a fine of not more than $10,000.

(c) Exceptions. - Exempted from the provisions of this section are those species of wildlife not being kept as household pets and which are individually exempted by a permit issued by the Department of Natural Resources.

2. All goes well at the emergency room, you talk to the staff there, and Mr. Troup calls you after he is treated. The wound was cleaned and antibiotics dispensed. But you never hear back about how the vet visit went.

3. You call Mr. Troup early Monday morning. Because there is an extra fee to see the vet on call on a Sunday, he decided to wait until Monday morning to take the pup to the vet. The pup is no better, and he is on the way to the vet now.

4. Call the vet he is going to see (you already asked him who it was) to let them know that there is a rabies suspect pup on the way to their clinic.

The vet calls you back in one hour to let you know that the pup was indeed showing signs of rabies, was euthanized and is being prepared for shipment to the state lab by bus. Results should be available by early Tuesday afternoon.

You also find out that most of those potentially exposed do not have a regular doctor.

As a courtesy, the Health Department keeps rabies treatment biologicals on hand, delivers them to the doctor for administration, then is reimbursed by either insurance or the patient if they are able to pay.

Because those exposed have no doctor to work with, the Health Department contacts the Public Health District. They are happy to help, and are waiting to be notified of test results.